Individual provider · Type 1 NPI

Gregg W. Beaty, DDS

Oral and Maxillofacial Surgery (Dentist) · San Diego, CA

NPI number 1780755959 Active

Practice location

3737 Moraga Ave, Suite B-200
San Diego, CA 92117-5404

Call (858) 272-7086 Map

Fax (858) 272-7289

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X034467 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X4036-015 (WI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1780755959

Gregg W. Beaty, DDS's National Provider Identifier is 1780755959, issued on Nov 10, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.